Provider Demographics
NPI:1457636136
Name:F SQUARED PHYSICAL THERAPY OF NEW YORK, PLLC
Entity Type:Organization
Organization Name:F SQUARED PHYSICAL THERAPY OF NEW YORK, PLLC
Other - Org Name:F SQUARED PT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST, CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-538-3629
Mailing Address - Street 1:250 W 26TH ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6737
Mailing Address - Country:US
Mailing Address - Phone:212-675-5650
Mailing Address - Fax:
Practice Address - Street 1:250 W 26TH ST
Practice Address - Street 2:SUITE 402
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6737
Practice Address - Country:US
Practice Address - Phone:212-675-5650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty